Information Letter No. 18-06 : This letter addresses preparation for the August 31, 2018, end of fiscal year closeout. Providers must promptly submit claims to be paid by the Health and Human Services Commission (HHSC) for any unbilled services. Any problems associated with the claims are resolved within the 12-month filing limitation. The letter directly addresses the following:
Adult Foster Care Providers
Assisted Living Facilities
Community Attendant Services Providers
Community … [Read more...]

There are more than 1,200 long-term care centers in Texas and according to the Administration on Aging, over 70 percent of people turning age 65 can expect to use some form of Long term care in their lives. Long-term care in the US has been based on but not limited to nursing homes, and facility-based long-term care that includes services such as continuing care retirement communities, assisted living, and board-and-care home. Long term care is not medical care but serves the purpose of … [Read more...]

Information Letter No. 17-17This is a reminder that, with the fiscal year change, any claims for services performed in fiscal year 2015 (September 1, 2014 to August 31, 2015) that TMHP receives after Noon, Tuesday, August 8, 2017, will become miscellaneous claims and cannot be paid through the standard Claims Management System payment process. Fiscal Year 2015 Miscellaneous Fee-for-Service (FFS) Claims Cutoff:Noon, Tuesday, August 8, 2017Fiscal Year 2017 FFS Claims Processing Cutoff: Noon, … [Read more...]

DADS has issued Information Letter 14-49 titled Billing Process for Long-Term Services and Supports Providers Transitioning to STAR+PLUS.
The Health and Human Services Commission (HHSC) is expanding the STAR+PLUS Medicaid
managed care program to the existing Medicaid Rural Service Areas (MRSAs) including West,
Central, and Northeast Texas. With this expansion, most individuals who are age 65 or older or
who have a disability will get their basic health services (acute care), and … [Read more...]

DADS has issued the following Information Letter(s):
Information Letter No. 14-23: Expansion of the STAR+PLUS Medicaid Managed Care Program to the Medicaid Rural Service Areas
The Health and Human Services Commission (HHSC) is expanding the STAR+PLUS Medicaid managed care program to the existing Medicaid Rural Service Areas (Medicaid RSAs) including West, Central, and Northeast Texas. With this expansion, most individuals who are older or who have a disability will get their basic health … [Read more...]

DADS has issued the following Information Letter:
Information Letter No. 14-22 -
It is important for providers to promptly submit claims for any unbilled services to prepare for the August 31, 2014, end of the State fiscal year. Additional details regarding cutoff dates for Fiscal Year 2014 will be published when they are available.
• 12-month filing rule - Providers should ensure not only that billing is current for all services provided, but also that any problems associated with the … [Read more...]